We evaluated 214 fetuses sent for autopsy with gestational ages ranging from 12 to 39 weeks. Of these, seventeen fetuses (7.9%) had single umbilical artery. Thirteen of these fetuses were aborted after antenatal detection of severe malformations and 4 died in utero. Genito-urinary system (n=6) and central nervous system (n=4) were the most common sites of involvement. Presence of single umbilical artery warrants a detailed evaluation of the fetus for other anomalies.

It is now well recognized that the presence of early pregnancy factor (EPF) can signify the occurrence of fertilization, continuation of pregnancy and the existence of a viable embryo. With this in view, a study was undertaken to observe the potential of EPF as a marker in assessing embryo viability in cases complicated with vaginal bleeding during early pregnancy. The results indicated that the sensitivity of EPF as a marker in predicting threatened or missed abortion was 78.9% and the specificity 95.6%. The positive predictive value was observed to be 93.8% and the negative predictive value 84.6%. Our studies have shown that since EPF is present in viable but absent in non-viable pregnancies, it could be a useful marker of prognostic value in threatened abortions.

Background: Teenage pregnancy due to changing social conditions, it’s important to study the implications of the maternal and fetal health. It is a serious health problem, more so in developing countries like India. Young mothers and newborns are at increased risk of anaemia, pre-eclampsia, increased rate of LSCS, PTVD, LBW, prematurity, NICU care, RDS, sepsis, IUGR. Hence, study is directed to identify the problems and their outcome.Methods: Teenage pregnant ladies between 18 to 20 years were taken up for the study. Study duration was 1 year from January to December 2016, at SDM Medical College Dharwad. During this period, all cases were included in the study, irrespective of their booking and unbooking statuses after 28 weeks of pregnancy are taken.Results: Study showed the incidence of teenage pregnancy is 10.26%. 79.2% of teenage mothers have varying grades of anaemia, 13.6% of women had eclampsia, 16.01% had preterm deliveries, LSCS rate were as high as 52%, 17.4% had instrumental deliveries, 12.5% were low birth weight neonates, 8.4% requiring NICU care and 2% were perinatal deaths due to prematurity, respiratory distress, sepsis.Conclusions: As teenage pregnancy is associated with high risk of anaemia, pre-eclampsia, eclampsia, PTVD, instrumental delivery, high rate of LSCS, prematurity, low birth weight, perinatal death. It’s important to reduce the teenage pregnancy by improving the socio-economic condition, education, public awareness, strict implementation of law, good ANC care, nutrition, access to contraceptive services, sex education.

No abstract

Background: Pregnancy induced hypertension (PIH) is the most common medical disorder of pregnancy contributing significantly to maternal / fetal morbidity & mortality. Hematological abnormalities ranges from thrombocytopenia, raised liver enzymes, hemolysis to DIC and are the most ominous complications related to PIH. This study was conducted to assess the platelet count and its correlation with the severity of pre-eclampsia. Methods: A 1 year cross-sectional study was conducted in year of 2016 over 200 patients who attended labour room. Among them 100 normotensive women were included in control group and 100 women with BP 140/90mmHg and above, proteinuria, and eclampsia were included in the study group. Result: Among the 100 PIH cases, majority belonged to age group of 20-25 yrs with a mean of 22.74. 66% of PIH were primigravidas and 53% belonged to 37-40 weeks of gestation, 68% cases were severe preeclampsia and 16% 0f the cases had thrombocytopenia. Conclusion:This study gives an outline of investigation to be done which alerts the physician of the severity of the disease so that appropriate and timely management can be initiated. Estimation of platelet count being simple economical and rapid investigation can be used for early detection of severity of preeclampsia and to prevent further mortality and morbidity.